Preceptorship/Independent Study Proposal

Please complete this Preceptor/Independent Study Proposal Form with your faculty sponsor. This form is only complete when you have included a complete course description, information to calculate credit hours, and with an email from your faculty sponsor verifying his/her approval of the course sent to Pritzker's Registrar, Maureen Okonski.

Please be aware that the Departments of Psychiatry and Obstetrics & Gynecology require Department Coordinator's approval to be assured of available clinical space.

MSTP Students requesting Teaching Assistant course credit require Dr. Clark's approval (Director of MSTP).

Please provide us with your name and contact information:

Do you want this research to count towards your Scholarship & Discovery requirement?

Preceptorship/Independent Study Proposal